The 10 Most Common Causes of Erectile Dysfunction

The 10 Most Common Causes of Erectile Dysfunction

How can one tell the difference between ED that is psychological or stress-related, and ED that is a heart disease risk? Risk factors for ED include diabetes mellitus, increasing age, dyslipidemia, hypertension, and use of antihypertensive and psychotropic medications. The simplest kind of implant is made from two easy-to-bend rods that are most often made of silicone. Your urologist will help determine the most effective course of treatment for your condition. What to look for:

However, erectile dysfunction related to nerve damage from diabetes or vascular disease typically is not reversible and often progressively gets worse. It can be related to hardening of the arteries throughout the body. A significant proportion of men who have no sexual dysfunction nonetheless do not have regular nocturnal erections. Recreational use of ed medications in the elderly. They are sildenafil (Viagra®), tadalafil (Cialis®), vardenafil (Levitra®) and avanafil (Spedra®). If you are a man with diabetes, we’ve got good news and bad news about your sex life. Indeed many men say that treatment has transformed their lives. You may need to cut back on or change those that may be linked to ED. If you have some of these symptoms, your health care provider may have you get a blood test to measure your testosterone levels.

Since the ICI erection is not regulated by your penile nerves, you should not be surprised if the erection lasts after orgasm. Subjects, how soon the drugs start working ranges from 15 to 60 minutes. Pelvic surgery may disrupt both neural and vascular pathways, resulting in ED. The device consists of an acrylic cylinder placed over the penis that uses a lubricant to achieve a good seal between the penile body and cylinder. These words are enough to make any man nervous.

PDE-5 inhibitors and heart problems PDE-5 inhibitors should never be used if you may need to take a nitrate-containing medicine, such as nitroglycerin. Demographic questionnaire, erectile dysfunction is an ongoing condition in which men have difficulty getting and keeping their erections. Keep an erection firm enough for sexual intercourse. Men who are overweight, habitual smokers, alcoholics, or substance abusers are more prone to experiencing erectile dysfunction. While these commercials spur jokes and laughs among most, erectile dysfunction could indicate a serious health issue. Because symptoms of ED are often a sign of another health condition, it’s important to seek medical attention.

  • Feeling embarrassed about ED may prevent many men from getting the medical attention they need.
  • You are not alone; others have faced these difficulties.
  • What is erectile dysfunction and how many men have it?
  • But these medications aren't medically appropriate or desirable for everyone.
  • These are administered into the tip of the penis (urethra).
  • Erections may gradually become more difficult to get and keep as you get older.
  • Having erection trouble from time to time isn't necessarily a cause for concern.

How to Solve Erection Problems

The counsellor can also provide you with some practical advice about sex, such as how to make effective use of other treatments for erectile dysfunction to improve your sex life. Before I began researching this article, I expected it to be a story about sex – or the lack of it. You place your penis in the tube and pump out all of the air. This causes increased blood flow, following which an erection usually develops within 15 minutes.

Physical reasons for erectile dysfunction may include: Stress and other mental health concerns can cause or make erectile dysfunction worse. If a problem develops with any of these things, erectile dysfunction could be the consequence. Nicotine, alcohol, or cocaine use. Physical problems are often the cause of erection problems in men age 50 or older. This is particularly important for people with heart disease or another underlying condition that could be aggravated by vigorous activity. THIS TOOL DOES NOT PROVIDE MEDICAL ADVICE.

Tell your healthcare provider about all the medicines you are taking. ED means the repeated inability to achieve or sustain an erection sufficient for sexual intercourse. Poorly controlled diabetes and high cholesterol increase the chances of vascular complications, which may lead to ED or other circulatory problems. In some cases, ED causes poor self-esteem, anxiety and even depression. – An alternative to oral medications, vacuum constriction devices can create an erection using vacuum pressure — once an erection develops, a constriction band is placed around the base of the penis to maintain the erection. In some cases, treatment can involve inserting prostaglandin pellets into the urethra, injecting smooth muscle relaxants and vasodilators into the penis, a penile implant, a penis pump, or vascular reconstructive surgery. Emotional causes are more common in younger men. Wellness+ rewards, a Treatment of antidepressant-induced sexual dysfunction with Ginkgo biloba extract [abstract #716]. Many believe erectile dysfunction (ED), also known as impotence, is becoming more prevalent in young men.

Shusterman explains.

Risk Factors for Male Pattern Baldness

It is not advised for men who have normal testosterone levels for their age. If your first dose doesn’t help, call your doctor. If you or your partner is concerned about erectile dysfunction, you’re not alone. Careful abdominal examination looking for organomegaly masses or other signs of liver or kidney disease. It isn’t something you—or your partner—should have to live with. In AJ Wein et al.

Studies have shown that when patients lose weight and exercise, not only do the rest of their vascular systems benefit, but their erections usually improve as well.

It is important to involve your partner in your decision, regardless of the treatment you choose.


These can be used to create an erection by using a partial vacuum to draw blood into the penis. Yan‐ping huang, bin chen, feng‐juan yao, sheng‐fu chen, bin ouyang, chun‐hua deng and yi‐ran huang, weaker masturbatory erection may be a sign of early cardiovascular risk associated with erectile dysfunction in young men without sexual intercourse, the journal of sexual medicine, 11, 6, (1519-1526), (2020). It is probably due to pressure on the nerves going to the penis, from sitting on the saddle for long periods. “I see an increasing number of men under the age of 35 developing performance anxiety,” says Francis. Your erections will be best when you’re healthy. You might not think that slightly elevated blood pressure or your medications could cause trouble down there. Having trouble performing in the bedroom when you’re nervous or have had too much to drink may not be something to be concerned about. In many cases, erectile dysfunction is caused by something physical.

What medications could cause erectile dysfunction (ED)?

Because they are effective, convenient, and relatively inexpensive (about nine dollars per pill), these medicines have become the treatment of choice for most men experiencing ED. Several restorative or regenerative treatments are under investigation for the future treatment of ED: If you have a low sex drive, or if you have had a previous head injury, ED may be due to a hormonal problem. Taking prescribed medication, communicating with your doctor, and speaking with a psychologist can help guys maintain a healthy sex life. After the agreed period of time has passed, you can gradually begin touching each other’s genital areas. With proper training, 75 out of 100 men can get a working erection using a vacuum erection device.

If pills don't work or if your doctor feels more testing is needed, he or she may recommend: Even with an erection problem, a man may still have sexual desire and be able to have an orgasm and to ejaculate. Fast turnaround on prescriptions, 1 degrees, range 5 to 30), 5 (22 %) had no change and in 3 (13 %) the condition worsened. Intraurethral alprostadil (MUSE).

But the possible link between bike riding and erection problems has not been proved.


Impotence means that a man's penis doesn't get hard enough to have sexual intercourse. So it's important to eat healthy foods and get enough exercise to help you stay in good health. An erection problem that does not go away can make you feel bad about yourself. Antihypertensives (high blood pressure drugs). If you have one episode where you can't have sexual intercourse as a result, you may get anxious that it will happen again. Do not stop any prescribed medication but see your doctor if you suspect this to be the cause. To look for an underlying problem, such as:

The treatment for erectile dysfunction depends on what is causing it. Are you stressed, depressed, or anxious? Rather, you should discuss them with your doctor to determine whether a different dosage, an alternate medicine, or additional treatments will resolve the ED. When simple honest communication fails to bring couples closer, professional counseling may be needed. It is important never to stop taking a prescribed medication unless you are advised to do so by your GP or another qualified healthcare professional responsible for your care.

Other Workup Methods

If you're having relationship difficulties, consider couples counseling. Urology care foundation, someone may have absolutely no anxiety masturbating alone in a room, but bring in a sexual partner, and all of a sudden Mr. But if you notice it happening frequently and you can’t think of a mental reason why you’d be having trouble getting hard (like you’ve been extra exhausted or stressed), that might be pointing to a bigger issue. This can make it difficult to get an erection. ED can follow major life changes, stressful events, relationship difficulties, or even the fear of ED itself. For the blood to flow into the penis, the muscles in it have to be relaxed, and when it contracts again, the blood flows out, signalling the end of the erection.


Any problem that affects the said body parts can result in erectile dysfunction. These conditions narrow the blood vessels and reduce blood flow to the penis or damage the erectile nerves. In rare cases, low testosterone can be linked to ED. Know you have options for erectile dysfunction. Also know what the side effects are. The use of prostaglandin E1 is contraindicated in patients with a predisposition to priapism (e. )

This is uncommon. Follow us, you deserve to be happy, have sex, and have sexual gratification. Alprostadil is available as: In the meantime, here’s what you should know about erectile dysfunction. It starts with you both agreeing not to have sex for a number of weeks or months. Viagra acts by slowing the breakdown of cyclic GMP (cGMP), and the resultant increase in cGMP dilates the penile arteries and leads to an erection.